Efficacy of MIrikizumab to Achieve Transmural Healing in patiENTs With Crohn's Disease (EMINENT-CD)
Efficacy of MIrikizumab to Achieve Transmural Healing in patiENTs With Crohn's Disease : EMINENT-CD
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Noemie DA COSTA
- Phone Number: +33 9 72 57 61 60
- Email: ndacosta@getaid.org
Study Contact Backup
- Name: Julie MUSSOT
- Phone Number: +33 6 27 49 29 10
- Email: jmussot@getaid.org
Study Locations
-
-
-
Brest, France, 29200
- Not yet recruiting
- CHU de Brest - Hopital de la Cavale Blanche
-
Contact:
- Franck CHOLET, MD
- Phone Number: +33 2 98 34 71 15
- Email: franck.cholet@chu-brest.fr
-
Clermont-Ferrand, France, 63003
- Recruiting
- CHU de Clermont Ferrand - Hôpital d'Estaing
-
Contact:
- Anthony BUISSON, MD
- Phone Number: +33 4 73 75 05 23
- Email: a_buisson@chu-clermontferrand.fr
-
Nîmes, France, 30029
- Not yet recruiting
- CHU de Nîmes Carémeau
-
Contact:
- Ludovic CAILLO, MD
- Phone Number: +33 4 66 68 31 83
- Email: Ludovic.CAILLO@chu-nimes.fr
-
Paris, France, 75674
- Not yet recruiting
- Institut Mutualiste Monsouris
-
Contact:
- Marion SIMON, MD
- Phone Number: +33 1 56 61 63 14
- Email: Marion.Simon@imm.fr
-
Toulouse, France, 31059
- Not yet recruiting
- CHU de Toulouse - Hôpital Rangueil
-
Contact:
- Cyrielle GILLETTA, MD
- Phone Number: +33 5 61 32 27 63
- Email: gilletta.c@chu-toulouse.fr
-
Valence, France, 26000
- Not yet recruiting
- CH de Valence
-
Contact:
- Céline MONTUCLARD, MD
- Phone Number: +33475757512
- Email: cmontuclard@ch-valence.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with CD
- ≥ 18 to ≤ 75 years-old
- Symptomatic CD according to PRO-2 (stool > 3 or abdominal pain score > 1)
- Transmural inflammation on baseline MRI (C-score > 0.5 in at least one segment)
Exclusion Criteria:
- Prior exposure to anti-p19 biological therapy
- Exposure to more than 1 class of advanced therapies at a dose approved for the treatment of Crohn's disease (janus kinase [JAK] inhibitors, infliximab, adalimumab, certolizumab pegol, vedolizumab, ustekinumab, or approved biosimilars for these agents
- Exclude any previous use of p19 IL23s agents
- Contra-indication to mirikizumab
- Definitive ostomy
- Colectomy with IPAA
- Isolated or uncontrolled perianal lesions
- Severe obstructive symptoms
- Intra-abdominal abscess
- Contra-indication to MRI
- No health insurance
- Pregnant or lactating women
- Patients already included in biomedical research other than an observational study (e.g., registry, cohort)
- Concomitant Clostridioides difficile infection
- HIV infection
- Patient under guardianship, curatorship or safeguard of justice
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Mirikizumab treatment
Mirikizumab will be used as scheduled in the drug label: induction with IV infusions (900 mg) at week 0, week 4 and week 8. For clinical responders: SC injections (300 mg) at W12 and every 4 weeks For clinical non-responders: SC injections (300 mg) at W12 and every 4 weeks |
Mirikizumab induction with IV infusions (900 mg) at week 0, week 4 and week 8.
SC injections (300 mg) at W12 and every 4 weeks For clinical responders and non-responders
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Transmural response (TR25)
Time Frame: From week 0 to week 24
|
Transmural response (TR25) define as the decrease of at least (>=) 25% of C-score in each and all active segment from baseline to week 24
|
From week 0 to week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical remission
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
Clinical remission will be defined according to PRO-2 (Patient Report Outcome)
|
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
|
Improvement or normalization of bowel urgency
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
Improvement or normalization of bowel urgency according to UNRS (Urgency Numerical Rating Scale)
|
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
|
BU clinical meaningful improvement
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
BU clinical meaningful improvement was defined as decrease of >=3 points; BU Remission was defined as UNRS =<2
|
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
|
|
Transmural response (TR50)
Time Frame: Week 0, Week 24, Week 76
|
Transmural response (TR50) is defined as a decrease of at least 50% of C-score in each active segment at baseline
|
Week 0, Week 24, Week 76
|
|
Transmural healing
Time Frame: at Week 0, Week 24, Week 76
|
Transmural healing is defined as a C-score < 0.5 in each active segment at baseline
|
at Week 0, Week 24, Week 76
|
|
Disease activity
Time Frame: Week 0, Week 24, Week 76
|
Disease activity is measured by the MaRIA score (Magnetic Resonance Index of activity)
|
Week 0, Week 24, Week 76
|
|
IUS transmural response/healing
Time Frame: Week 4, Week 8, Week 12, Week 24
|
IUS transmural response/healing
|
Week 4, Week 8, Week 12, Week 24
|
|
Bowel damage
Time Frame: Week 24, Week 76
|
Bowel damage is measured with the Lemann Index
|
Week 24, Week 76
|
|
Transmural response (TR25)
Time Frame: Week 0, Week 4, Week 24, Week 76
|
Transmural response will be defined as a decrease of at least 25% of C-score in each active segment at baseline
|
Week 0, Week 4, Week 24, Week 76
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Guillaume LE COSQUER, MD, CHU de Toulouse- Hôpital Rangueil
- Principal Investigator: Anthony BUISSON, MD, University Hospital, Clermont-Ferrand
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GETAID-2025-02
- 2025-521889-95-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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